[article]
| Titre : |
Early Signs and Early Intervention |
| Type de document : |
Texte imprimé et/ou numérique |
| Auteurs : |
Christine M. FREITAG, Auteur |
| Article en page(s) : |
p.135-150 |
| Langues : |
Anglais (eng) |
| Index. décimale : |
AUT-B AUT-B - L'Autisme - Ouvrages généraux et scientifiques |
| Résumé : |
As autism spectrum disorders (ASD) are pervasive developmental disorders with onset early in life, attempts have made to diagnose ASD as early as possible. The available screening instruments for young children in the second year of life (aged 12 or 18 months) do not show a clinically acceptable sensitivity and specificity. New diagnostic algorithms for the Autism Diagnostic Interview-Revised (ADI-R) with toddler-specific items show a better sensitivity and specificity than the common ADI-R algorithms. In addition, the ADOS toddler module is a promising direct observation tool with good validity, but intensive training is required to reliably score the items within and across clinical and research groups. Several studies on early intervention have been published, but many of them have not been blinded to the kind of intervention and have not implemented a randomized controlled design. US-based randomized controlled studies on intensive early behavioral intervention, based either on applied behavior analysis or on a more developmentally oriented approach, have shown medium to large effects with regard to cognitive and language abilities as well as adaptive behavior. No such studies have as yet been performed in Europe. In addition, comparative cost-effectiveness studies have rarely been conducted. |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=271 |
in Key Issues in Mental Health > 180 (2015) . - p.135-150
[article] Early Signs and Early Intervention [Texte imprimé et/ou numérique] / Christine M. FREITAG, Auteur . - p.135-150. Langues : Anglais ( eng) in Key Issues in Mental Health > 180 (2015) . - p.135-150
| Index. décimale : |
AUT-B AUT-B - L'Autisme - Ouvrages généraux et scientifiques |
| Résumé : |
As autism spectrum disorders (ASD) are pervasive developmental disorders with onset early in life, attempts have made to diagnose ASD as early as possible. The available screening instruments for young children in the second year of life (aged 12 or 18 months) do not show a clinically acceptable sensitivity and specificity. New diagnostic algorithms for the Autism Diagnostic Interview-Revised (ADI-R) with toddler-specific items show a better sensitivity and specificity than the common ADI-R algorithms. In addition, the ADOS toddler module is a promising direct observation tool with good validity, but intensive training is required to reliably score the items within and across clinical and research groups. Several studies on early intervention have been published, but many of them have not been blinded to the kind of intervention and have not implemented a randomized controlled design. US-based randomized controlled studies on intensive early behavioral intervention, based either on applied behavior analysis or on a more developmentally oriented approach, have shown medium to large effects with regard to cognitive and language abilities as well as adaptive behavior. No such studies have as yet been performed in Europe. In addition, comparative cost-effectiveness studies have rarely been conducted. |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=271 |
|
Early Signs and Early Intervention in Key Issues in Mental Health, 180 (2015)